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HomeMy WebLinkAboutbocc.res.009.1983 •y� ... .•"t�.�.� � . i:�;4i� � �� , -�. i :'�Rr- . [�` ,,f,x tt � �, t/ .`'S`x - �,: � �. �1 .z�,"`""e��:7 t {9 a7 'E 'Y 19 ��n�"�' ' � fE . ch fi7'ty'Zf _ ,�K, f t i�•�c ��'��} r��y,l�'��( .;!� .t ��j�`. - ,y.� y�',i{�t- �. `�Li �. f .x� - � h . ., , ,� •`�/���+>p�"��1�`S"':�! /~S�'�1��3 Tt��4.MJ' p���tf ;':� fi% llhC� �'�) � ML :�4 ���:flr"t t ���Y�ae�,+ S b'� 7 7Jy.. �Fy�yL Pj �� I�1�I E, �:�� L :(;�-��` .I,. .�, ,�� r, �,t���y;�yy 1 ... �'3-�A.l�f'...2".}�l.'$�,3'�[.'�:1"7+'�. .�,�G�+w.u!S£ ���bYYar�� _ ��';�',i+•nN.M1���.�111:. �i. �- f� u �� 4-� ��� RESOLUTION OF BOARD OF COUNTY COMMISSIONERS ',� �F PITKIN COUNTY, COI,ORADO ; � i ��j AUTHORIZING A[d APPLICATION TO THE BUREAU OF LAND MANAGEMENT :� � FOR A RIGHT-OF-WAY EASEMENT r.q;+'• . �.�,� FOR THE CENTENNIAL PMH PROJECT DEVELOPMENT �� Resolution No. &3 - 9 �� � WHEI2EAS, the County intends to acquire title to ' E� �3 a tract of real property of approximately twenty-five (25} �" � F,5 acres pursuant to a Settlement Agreement between the County i.`•! � and Jay R. Kuhne; and 5 s = � t � WHEREAS, the Board of County Commissioners and � ' �'� Centennial Partners are joint applicants to the rezoning of this 25 acre parcel for the development of 267 dwelling �, 't ' �i unit deed restricted employee housing project located in � :s ;> i� Pitkin County, Colorado; and i'; �� �;� WHEREAS, the Bureau of Land Management is the • j owner of a certain .33 acre parcel contained within the N �� property to be developed; and � - ; � :a; ! �, i: WHEREAS, the County desires to acquire an access �Yt �' : � � ' right-of-way across the Bureau of Land Management parcel � to benefit and serve the surrounding lands, foz roads, utilities, 1 and trails. �� NOW, THEREFORE, BE TT RESOLVED that the Pitkin County Board of County Commissioners authorizes the Housing � . '� Authority, on behalf of Centennial Partners and the Board � .� of County Commissioners, to make an application to the Bureau , �� of Land Management for the necessary Right-of-Way Eor roads � and utilities and trails. Th2 necessary easements are a '�'�-�:`� :- � ' � condition specified for the project which has received from t ; � the P & Z a recommendation of general submission approval j for 267 deed restricted dwelling units. ' I I i -1- � ' I � 1 , �� ; � .d;.��`vt4��' . � .�';,!T�, k Rtl _1 a 1� i ts �L� �`� Yc�t"i7t�4�� Y'is` '`+ "4n`rh `� �'' °� '`�'�+ s ' '£� �► 5 �`i' i��x'`� f �i� ������� � '.ar � " {.,� '{ ������ �' � y. �k..-: e4 y '�0 C ry � q '�� �y i �� 4 �''� :��T. r �`�,� �e� �{ � F k�r . :�r. ,. tA,i .�y,, .c� , N .,. .. ....e�,�.,,.. ,_ ,.'�+ ...._ , � ,. ..�yr:;::.,�.:.. ..,.. . _ ._ ;;� ;.� �� �� APPROVED BY THE BOARD OF COUNTY COMMZSSIONERS ; �i� OF PITKIN COUNTY, COLORADO AT THEIR REGULAR MEETING ON JANUARY � �� � '-'�_..< 1�; 24, 1983. �� � BOARD OF COUNTY COMMISSIONERS a` � T: OF PITKIN COUNTY, COLORADO _ � //� � . / By. Z? , �-['/✓�="-=. ,�,' Lewis Scanlan Geo�ge Madsen + Deputy Clerk and Recorder � �' � `. � APPROVED AS TO FORM: � � w . ../' _ �v -� � W sley A.� ght r:�: County At rney .�: .i-: . v � , - �l: . � t: �4: . .�-:..k::. 4 t. � . �' :R: :�5.. fr � ` ,.. f�„, � � � � � -- I I I i ^2- � I �. e� , . ,, . �.. . , � }{ 1� F �y � � �� � � � � i 4 .._ .f�.' t � a f� ,1� „��" �.7'i f� > _.Y Jt 6` `; �kv ��:.�'� G �S�f t 4 t� L.ry�x y!tt Mt��+�a � , ��,� j�.zr�r� r �J �"' !�n� .i I � ,4,�� �, ��. s^t R 9 �.+'vFSt��'L t "t"��S:.� n�. . v..:�.i ._ ... . a...e.azcr�..... cy.`.�.;d��� ..�_zArilr_,.���:�.s. ..... .,5�' .. � .._ . - . � .. _ . , ... eTANDARD FOMM 1av(17-.�1� �� P�nerlbed4y DO�/U9fIA/uUT APPLICATION FOR TRANSPORTATION AND F(�RM APYROVFD ,'.,�j P.L.V6-IA)�nd Psd�a.11t��l�1u U7ILITY SYSTEMS AND FACILITIES OMU NO.IOU�1-OOGO ��f,:7 Nauc•a-]-e� ON FEDERAL I.ANDS Explrce Muy ll, l4tl! 1; '.'"— "": FOR AGENCY USE ONLY .•::•,1 - NOTE: De(ore EilinE ihr,applicalion,thc uppiicont sLould completcly revicw this pack���e �np[irm�.,n Numt,cr :^:� �" and schedule a prcapplicution mceting with representativcs of the agency respon• , � sibte Eor processin�the application. Each agcacy may have specific ,md uniryue k ! requirements to be mel in preparing and proccssink thc application. Many times, �_,,:� with the help o{the agency representative, lhe application can be completed at Date fi�ed �I � ��� the preapplication meeting. . � f ,_f'L_. p '��� 1. N�me rnd eddre�s o!applicunt(inrluAr zip 2. Name,title,and oddrets of authorized oCent 3. TELEPNONE(u.ra codN '� � ' ^F=�;� codt) 1f dif(crent(rom Itcm�(incfudc zi rnJrJ ; :'� �' Applicant . ��:�� Pitkin County Board of County Centennial Partners 925-6612 t;=�_; Co�mnissioners and Housing Authori y Sam Srown � � 506 East Main Street Box 6899 Autfior3zeQ Agent �°' Aspen, Colorado 81611 Denver, Colorado 80206 399-9964 �',:�r�.' '�" p, Ae applieant nre you? (check onr/ 5. Specify what apptic�tion is foK (c5ec4 onel '��'-�� a. O Indfvldual �• �New aulhorizetion t i�;�� . • �. b. OCorporation• b. �Renew existing authorizetion No. e. QPartnershlp/Association• e. QAmend existing authorizotian No. "� d. �Stqte Govemmenl/Slate Agency d. �Assign existing authorization No. . �,��.� e. �Locet Govemment e. �Existing use(or�vhich no euthorizat}on has bcen received• . (. �FedernlAgency t. �Olher• _ � - ^�'F,..,� •I/cherked,compfeie tu���eme�rar�aR� •1(rSecAeJ, provide details undrr ltem 7 � . . � -,���1`:'� 6. If en lndividual,or partnerehip ox you a diizen(e)o!the United States? XQ Yes �'j No . 7• Projecl descdption(describr in detaiU: (a) Type of system or(acility, (e.g.canal,��pe�inq roaJ);(h)related stmeturez and[od�- ii.:,,_�� itiea;(c)physical spe:ifications flengtb,width,graJing,cic.);(d)tecm o(yeara needed;(e)time of year of use or operattan;(n votame � or amount of product to be[rnnsported;(g)durelion end timing of const�uction;and(h)temporary work areas needed for eonatNCtion. �,�...� (Atfocb addi�iana!sbeets,i/addi(ioma(space is needed.) An isolated Bureau of Land Management parcel of approximately .33 acres, located �y^_:..� in Pitkin County, is of interest to the Housing Authority and the Pitkin County � Governmerit in order to obtain a right-of-way easement. � a) The parcel is surrounded by other land parcels which are to be deeded to � the County according to the agreement between the County and Jay R. Kuhne. The • ,,: y lar.d to be transferred will be ut:lized for the development of an employee housing r� ;-:�; project of 267 units on 25 acres. ';he exfsting szte plan specifies that it is `,� necessary for u[ilities, roads and trails to cross the BLH parcel in order to r-:i properly develop the area. p.,.,� _.A b) This BLM parcel will be surrounded by a housing project; therefore, the , ,-� related structures and facilities will iacZude multi-family housing units, parking, � "]1 parks, and common facilities. i � � � . 3 c) The attached plan shows that it is necessary for easements for a road, �. ?;;# utilities, and two trails, plus a sidewalk. The width of the road right-of-way � �� b is to be 60 feet for both the road and the utility corridor. The trail easements � `z�� require 20 foot right-of-way for construction of a 15 foot trail. The sidewalk K� p :i requires an 8 foot right-of-way. 5 � ^� d) The term of the right-of-way is for 99 years oY in perpetuity. � a:: e) Use of the rights-of-way will be on a year-round basis. . :� � _>t' - "�' f) A traffic volume anticipated for Lhe road w111 be that resulting from `�� ' �F.:i. ;�_:; the adjacent residential development of 170,000 square feet. `^i�" (GONTINUED - ATTACf@fENT) "�� 8. Alt�ch mop covering ama ond show localion of project proposul SeE attached. � �� � f�`:-" - �T�= 9. Stnte or lucal�ovemmMl opprovuL' �AUnched �', Applictl for Lj Not required ;#�' �-iw. 7tf•� 30. Nonrctumabic upplicotion fee: QAtluched �Nol required Xi.'1.�j.- . �`. I l. Does proJecl cross intemo��onel�oundury ur uffetl In[ernutionnl welerwuyn? ��Yes �.(�No R/"yes,^rndicafe on map) . 3 "�i,I L2. GiVe slotemenl o(your lechnical and financiat capnbi7ity to construct,operute,malNrin, and t�nnin�te syatem[or whieh •ulhoriza- � K'!;. `7 tMn 15 6eing mqucsted. �:�" Pitkin County will construct the roads and trails for the project or require that �;"-` they be built according to tl�e standards of the County. The County road and briclge j�'''' fund will receive an allocatiun to cover [he necessary costs. The County will �S_5�:'� con[inue to be responsible for the maintenance of the roads. The developer of thc �'�,��� project or the County w111 be responsiblc Eor the trails and sidewalks. In lhe f�.J C�;,,1:� proposal to [he County the developer hns demonsL'rated tlie ability ta procure ci performance bond for the gunrantee oF thc comNletion of the project as pro�o�ed. �'":�'I . �-.',"t.`'I �'�y� (Cnnrinn�J un rrr�.c�•1 '•. . �,; . ,;r�;'�`i! . `;•,y,,�t41, - � � �:�' .. '� r a. �1�` ."3'�r�,�',�.�,�ti� !i. � S a4. �c � .§. .�) .� � i � 2x ��t� .q� �� �-j�'nk ��75� r S� ix��l Jj�'}. t1���'.ffZUF.(�„'t��S,: .(���y�� . . 4 3 . r}���� � � s3;_.� �f.i �,1�.� tK `��'t 3� �Y 2��.�t.��+41� n � :>s y���k z�� s� �'�, _. .ri�. `. �F.'��,'u'i�k"'"�g'1T� k�7��`' � ' �K � .��� ti . .S '�°�f.+��': _ wue"r,3_�G.-�.�.. �"� � �,Ti" iwYC �'��?',_,., ���8.... S,��i�i. * fL �.5�: �rl.;��ml'* t.<, ';. ,.:va ' �''� . F;:;:� CONTINUED -2- �`• ATTACHMCNT ��,� BLM EASEMENT APPLICATION ;��.; . �` : �;'i? , , �S^ • '"";j� Na. 7 continued: ' � - �i7 ���7 g) The esCitoated time for construction would be the laCter part of I983 and �;>d Che beginning of 1484 for the first phase of the project which will require that ��:� the road be constructed. Phase two of the project will take place in 1984-85. �' Some portion of the utilities and trails may be coastructed during that time. �''° � . �.� h) It is unlikely that any type of construction areas will, be required to • p r.m:? i i,�.,r: be located on the $LM parcel. . i C%�i� F }�ti � �,r,'-: No. 8: . 8�`.r',-, ��:� �r=- The land plan enclosed with this application indicates that buildings are ��' located on the BLM land. This will not be the case, as future site plans will �;� 1�z be adjusted to reloca[e the buildings outside the property boundaries. The �� roads, trails and utilities will travetse the property approximately as designated. ��, The sidewalk location can be moved if it is not properly within a FLPMA righC- �t :k;;�? of-way. . . . �3�:;;:r . . "'�= No. 9: r,=`�= E:__,� � en+-�.� The project is currently involved in the review process for deveiopment a"'*^;r 'appzoval by the Board of County Commissioners. To date, it has received a �"�"� pproval by the Board from the Planning and Zoning Commission. k�;,. recormnendation of a �+a� Attached are the following documents: the pre-approval agreement between the '�'�� Count and the Centennial for the abilit to develo the ro ect if ;i �. r.... Y BTOUP: Y P P J Y"��' approved; and the Resolution from the Planning and Zoning Commission recommending <:.:#. ,� ="r:' conceptual appxoval for the project. _ E: ti }' Y i b,��._,r: + ��:' ; t�, 3 �^�': - ,�.r3, fF;° � . . :j•� , A x'. . �� . F "9. . _ �j`, - • ♦a� _ A': ;, � � . � . i�. � `:��S 7 .11� ��'1 � .�j �Y ? "`�' t t j , ��'.ki ! .. � Y �i y��: �� 4:,.,.�: . ,,.;, . __ ��, ,�.. . . � - �'r'�k .;� � � e �.: . 1� '' i�; �r�t-�r : r q.. � .'� _ ��f. � i� 7 �j� t- t ? �N ��' S � t .Y�+�..:Lti• ,ii Y l���F ,i[t ! -..�� 'Z�` i �' }k �{*ry� 1�• }(rY� �'j.hr�� �. 'rI1M4`�• �..awi:i'k's� e+fWw e+nn+.sw:iJ�4nkwl �� .`• ?n�'7�G��"'"�� SJ'.. �1x r��j . iJ�. De�t�16e uUinr rouwun�4lc MII�IOYIIVO IDItlCM n1f1I It1U�IlM CUIItlIJC�lIL ` .• The plan has beea carefully reviewed and tl�e accese proposed ia the only ;�i ptncticul access to thc project. Thia road allignment and trail loc;ition � ie conaistant with the transportation plan cont:�lned in the proposed Master ;.:,. ,� Plan for the Smuggler area. �i � _ i ;f "-- , b. 17�r qere tfieae altemative�no!�ele[tedT � %r". N. A. � i . F?:_'_� . . , �' . , . j ;�.�� � ° N44^� � " .,;: 7'�.t: r�`�1� � �:.� G Giw esplonalion u to ahy it la necesn�ry to cros�Federa!lends. � �'�l'�''�� -�:� .. w^ In order to allow adequate circulation in the Smuggler area �nd the addition of . '�^' 267 new residential units it is necessar to huild a new road for the area. The i�� ' Y s r•; best Zocation for serving the area has been ideatified and crosses the BLM tract. i�;; . F�.f.,'} ' �w;n: . i:...::- . . �;-,;• � .�1.�'s� `�;. i�. Llst aulhodzations md pendine cppllcrtions C+led for s[miGr projects whieh may provide into+malion to the authorizing agency. �"�•-� (SPecify number.dalr.code,or name.! , `�� � Numerous easements across BLM land have been obtained by the County in 't•"�;_;,; the past, yet no record of such rights-of-way exist With the Coanty. Perhaps the BLM records may be more complete. ti�";,:.� . • z;;,. ._._! � 15. Provide ataiement ot ne¢d for _,>�{ project,including the ecanamie feasibility end items such as: (e)cost o[pmDOSaI(construc[ion,ap- %- twlton,•and maintenance):(b)eatimated cost a(ncat 6esL alternative;and(c) xpected pubtic 6enefits. �.�`� � Attached are resolutions which address the need Eor the developmenE as well as " the financial proposal for the project development which were contained in the �-�� developers initial proposal for the project. � '.� �,,..-�16. Desefibe p�obable e([ects on the populotion in the rrea,inc[uding the social and ecanomic aspecls,and fhc rurol lifestyles. ::'� f ria �;`:�;� See attached portions of t:�e proposed Mas[er Plan for the Smuggler area ��hich °r+ addressed the impact of population growth in the Smuggler area. kd'.� ;: � . � e+ � ��'.��. 19. DeaniDe 11kNy environmental e(lecls thrt the proposed project aill have on: (a)air quality;(b)visual impact;(c}surface a�d gmund s�der quality und quentity;(d)thc control or slrucWrol chnnge on rny slream or olher 6ody af wuter;(e)existinC�o+se levels;end y}� (Q the sur[ace of the Iend,including vegelnlion,permnfrost,soil,end soil stabiliry. �" � ��,•. • Attached are those portions of the General Submission document which addresses these specific eavz.ronmental issues. � . � ���-�_. . � � �,i.�.. . �_,. F. ".'.� 18, Deacr(be the probable tffects that the proposed pro/ect wi!!have on: (a)populattons of fish.Olunt,wildlife,ettd marine li[e,inCluding ti ��� .�� lhre�tened and endangereQ apecies;�nd(b)marine mnmmals,inc�udine hunting,capturing,collecting,or killing tl�ese enimals. •1:"") " __ • �...r.• ... �;..,.� Not applicable. •- +�.�._ : ,A;. . �t' _�::1 �,,_� -.:� >::� � ;.L � �': 19. Name 41 the DePOrtmeM(a)/A��ncy(ies)where thia�ppficetion is beina filed. � . Bureau of Land Management: iy�� ' • �i:- �.t i . �(:"':�'d �;.... ���__ � �__ � ��`L?��'' 1 fICRF.OY Ct;kTIPY,1'fut(am u tuqid uKe rnd uuthorized to d�buviness ln ihc Slmc und thnt f huv� perno�ully esumineJ lhr infurmutfon �_ �� Conlainod In the applarunun und ticve tbul Ibe informollun xulimltt<d ia ca.rra•cl to qio beal u[mV knnwlydge. � � + SI�naWre of PPl�cont � /� — —������r.li�.� �7 � Dute i , �" ��` .�(�1� L�� C�'�,/V��� Ce�Je.�� ��C�/�r� T/f.�.�� �/�� . fi�:.,+ . `��./_ �,;r v�r , �6'i � � .--=-- ___ JJc a�r..+,s_��t��,-�_ — ==__ r31.a ms� ._.�.,. _-._ -1F=�=::—,.—:—_�_"'�'_�'—.'—_ ri Tltlr IB,U.S.C.SrcU�m l��l.mnkus 11�cr{me(01 anY P�'rxun kouwinglY�mJ wUffutlY to m+�ke 1� onY drpurlmant or •LenrV of Ihr UnIVd � � 61�t��MY(��I�ie.I�rllll�u+,uf Gdndulont nU�trmente Uf fO�4CYCf114N�41A NN lu unY mnUrr w�tliln ilM Junndlct�on. p 1�..:�'.'��.� _ _ _ _�yv� — � �� aw.�o�•.naz-l�ml �f�:r� f:�;:;,� , . i , ,.r v.,:l� �� .� r !g � �w ��s-� c Y� Y! ' + 'P<.�, �'t, � , � y., , �.5�' � �_�,,� i� p�' � ..'__"'f�iN�:�$;l�wA:rHY'Y.'y h++;-lrwYSllFCi:.:�i;...r....��r..,.....4+�i: ... ... .�B.J�,.'w`/r��,��..'�'c....._ ,�.._. �� � . • :,�k_ _7:.:� s.l., . ' • . � , {.'�,_�_ . � , - SUPPLEMENTAL ... N01E: 'fhc rrupnm�lbl�uy,rncY(tc�i w1N provlde uJdNlonel tr�nlnivli�mx. CIIt:CK AI'I'ROI'Itin'!P: UL(�C K j.,., j . 1— PRIVATE CORPORATIONS eTr�cnt:u FILF:t�- �'- ' �. ArUcic�ol L�cmpvntion �.� r� .'V�;�.;.!— . b. CorVnr�lion UY�uw• . n n ���:'j�_ e. A cer�iffcrtion(mm Ihe Slate ehuwing the corporulion�s in guoJ elrnJinq rml ls � � :. . ' r. ' enUUcd to oper�te w�th�n lhe titrle. , �'''� _ �.... - d. Copy o(rcsoluti�n uuthrnizirt¢filing . � n � w � .��: . e.She namc anA ndJrese of cach shorehuldcr owmng 3 p�'rcenl m mwe o(thc shares, togethcr w�th Ihe � _ �w?.;� . number and perccMa,^,e o!any c(uss o!votin�;sh+ms uC the cnuly wi�ich such sharchulder is xuthonzcd �� to rote and the n�mt and a:ldress nf each aff�liule o!the enUty together with,in the case of on affiliate � %f e;�L� Cantrolled by thc enuty,Ihc numb.�r of sbarcx and Ihc perecntagc o( eny.dass of wtin� stoc4 uf lhat � (7 yi�: , �(flliale owned,direcUy ur ind�reetly,by lhut eN�ty,and in Ihe case of an affiliate which controls Ihat eetily,the numLCr of.h:�res and the pnrccntuqe of any c(ass of vatinQ stock o[thal entity owned,d'uectly �'`•��... or IndirectlY.bY tf�c�f(�liatc. � �;•'.:.' _ .. ::��;;_- L Lf�pplication ia for ao oil or gas pipcline,describe any rclafed ti6hl-af-way or tcmporary use permit ap- Q � �ti�� p1iCNions.and idrntify previoua applicrtions. ' .. r .-� ��;:: --Q•�If+Pplication is for an oil and gas pipetine,identify ali Federal landx by ogency impacted by proposaL o �� �'x�6 COUNTY GOVERNMENT II-PUBLIC CORPORATIONS y�; i�;?'�:-. �. CoDY u(law farming corporation N.A. 0 � �. '`;:;;�b. Proo[o(organization State Statute � � . e. CoPy�I Byi.ws N.A. � � - . .�� - -- �------- --- � � „���- d. Copy o(rcsolution authorizing liling Resolution 83- � � �j��a If appticatinn is Cor an oil or R�s O�P�line,provide information i�::,�-: raquired by ltem"FP'and"I-g"above. 0 Q i,,.i III—PARTNERSHIP OR OTHER UNINCORPORATED ENTITY i—�. Artldei of association.if any � (J � �6:;�- b. If one partnet is authodzed to sign,rcsolution authorizing action is � � � . y.,� �� .y;�---e. Name and address o(exh participnnt,partncr,assxiation,or other � L , -�,��d. V�pDlicxlion is for ae oii or gas pipeline,proride infarmation ' . � � ,�? ;:,:�- rcquired by(tem"1-C•and"i-g"above. <;:i %'"�-•��Y the rrquired information is atready[iled with the aqenry processing this application and is currcnl.eheck block entitled"Filed." PtoviAe the Cile identiHcation inFartnation(r.g.numheq dnM,�'oJr,xnmN, i!not on fiJe or currrnt,altach the requcsted in(ormation. ^�.:�' ' . _ , . . , `-.ci � . ' . ' - � . ip `L �� . '� � � . . . . ' � - ' . . .� ��. . . ';:.� ' �. . .. NOTI�:E ' � � , - ��� � - The Privacy Acf of 397-1 pmvides tAat yuu De fumishrJ tLC � � -. � . . foUowing info�mation in connection with informalion renuired hy � � ,S�• . � �this�pplication Cor an authorization. . . . � �ppp . ���! � � � � - AUTHORITY: l6 V.S,C.310;S U.S.C.301. ' " � ' � . ��,� ' PqIN�IPAI PURPOSE: Thc information is to Fc useJ to procesr � . i - ` � � Q�t rpplicution. - . Y:S �' ' . . ��'.��' � j.= . � ROUTINE USES� (1) Thc proccssing of thc epplicant's rcqar.t . ¢;-„�,...;:.-� - (or an nuthorizalion. (Z) Dotwn�•ntution for pu6Lc informaliuu. ;-....`:..� '��a - . . (3) Tnns[er to approp�i:�le Frderol a�;encies w•hen concurrrnh• � � e��,•`:.. r--.i � � Is re9�ircd prior Io grantin�;a lght m publio londs or rc.ourrvx. , . .. y`��' � .-.� . (4)(5) [nfurmat�on (mm eh.� rca•ord and/ar Ihc reeo:d u•i(( hc truns- � , . '•F��� � ferred lo o�.pr.�priuti• 1'edrrul. 5t��le. Ino.l or fura•i�:n x�:cnaica, � , � - wAm �cicrunt to nvil. cununol or rc�ulutury in�•�•,fitLlions or � . - prosceutions. , � .' � t EFFECT OF N07 PROVIDING lNFORMA710N: :�i>rlosure u(lhv Informalion is volunlury. If uil Ihe�nfor..iution is nal providcd,thr y � , applieutiun muy l�o rclectrd� �k . •� DATA COLLECTION STATEMENT t � • i . The I+edera{ agenrtvw collrct thlx infmnmtlon frnm upplirnnta , MqurxllnC,nl:hl.nf•wuY. P�•nnil. Ucense, leu.e, or rertiflrulion 4�r g tl1c uae aC Prdcrul lundx. � iY� . Tho PcAcrul nqrnrlru u*v Ihin lnformaU�n lu vvulunlo tha � . � •Prlicrnl'n proP��nnt. . � � Tbc publlc la ol�lii:utrd tu roapnml to lhlx lnformmiun mqurnt if ,i � they wi��h to uld�dn p�•mu•;wmn W uxr�vdi�rpl lundx. , � i �� ' • + F'-i� .tr-c-=_- " ''_ - ��= _.__..—....._.—..__ .__�_...___'�_.._'._"_ ' ._—_..'__—.. �__-_. . L:�--.�........._.�.,_.... . . . .. . . �; . . .. . . . . .N,i;.,.::.2.y�1 :�..... .-...�.7 F.'.'